Midterm

Question 1

Which of the following statements about tinnitus is accurate?
* Tinnitus can be the first symptom of Hearing Loss?
* Tinnitus may occur with rhythm that matches the heartbeat
* Tinnitus can develop without any clear cause
* All of the above

Answer 1

All of the above

Question 2

Your next patient of the afternoon is a 58-year-old male who was referred to you with the complaint of right constant acute tinnitus. Based on your knowledge of tinnitus, the time frame for acute tinnitus. Based on your knowledge of tinnitus, the time frame for acute tinnitus would mean that the patient has been suffering from tinnitus for:
* Three months or less
* Six months or less
* Six months or more
* A year or less

Answer 2

Six months or less

Question 3

Which Neurotransmitter receptor is involved in protecting against noise induced excitotoxicity in the auditory nerve fibers.
* NMDA receptors
* AMPA receptors
* Serotonin Receptors
* GABA Receptors

Answer 3

NMDA receptors

Question 4

According to Jastreboffs Neurophysiological Model, which system plays a secondary role in tinnitus.
* Limbic System
* Auditory System
* Sympathetic Nervous System
* Reticular Formation

Answer 4

Auditory System

Question 5

What is the primary difference between subjective and objective tinnitus?
* Objective Tinnitus can be heard by others
* Subjective Tinnitus is caused by vascular issues
* Only Objective tinnitus involves somatosounds
* Subjective tinnitus is due to respiratory sounds

Answer 5

Objective Tinnitus can be heard by others

Question 6

What is the primary function of the limbic system
* Regulating heart rate and digestion
* Auditory processing
* Regulating emotions, memory and behavior
* Controlling Involuntary bodily functions

Answer 6

Regulating emotions,memory and beahvior

Question 7

The tympanogram results below indicate pulsatile tinnitus secondary to which of the following conditions
* TMJ
* Meniere’s disease
* Otosclerosis
* Glomus Jugulare

Answer 7

Glomus Jugulare

Question 8

According to neuropsychological models what is considered a primary care of how tinnitus is perceived?
* Reduced Neural response gain
* Increased spontaneous activity
* Direct response to external sounds
* Decreased spontaneous neural activity

Answer 8

Increased spontaneous activity

Question 9

When identifying the “tinnitus ear” and “stimulus ear” for psychoacoustic testing which ear should be used for the stimulus in a patient with bilateral tinnitus?
* The ear with the quietest tinnitus?
* The ear with the loudest or most prominent tinnitus
* Both ears simultaneously
* The right ear only

Answer 9

The ear with the quietest tinnitus

Question 10

Which of the following is a primary goal of audiological assessment for patients with bothersome tinnitus? (select all that apply)
* Rule out or confirm any underlying disease or pathology
* Define the impact of tinnitus on quality of life
* Diagnose tinnitus as a primary disease
* Quantify the severity of the patients tinnitus.

Answer 10

• Rule out or confirm any underlying disease or pathology
• Define the impact of tinnitus on quality of life
• Quantify the severity of the patients tinnitus.

Question 11

When performing pitch matching for a patient with hearing loss, at what level should the stimuli typically be presented?
* 5 to 10
* 10 to 20
* 20 to 30
* At the patient’s hearing threshold

Answer 11

5 to 10

Question 12

During loudness matching at what level should the testing begin in relation to the patient’s hearing threshold for the matched frequencies?
* 5db below the threshold
* 10 db below the threshold
* At the hearing threshold
* 5 db above the threshold

Answer 12

5db below the threshold